Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Claims Representative I

$16.23 - $24.36 per hour

Elevance Health

Claims Representative I

Claims Representative I Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Claims Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

How you will make an impact:

  • Learning the activities/tasks associated with his/her role.
  • Works under direct supervision.
  • Relies on others for instruction, guidance, and direction.
  • Work is reviewed for technical accuracy and soundness.
  • Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
  • Researches and analyzes claims issues.

Minimum Qualifications:

  • Requires HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $16.23 to $24.36 Location(s): New York In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion, consistent with the law.

Elevance Health
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Claims Representative I in Miami, FL vacancy
  • $50k - $55k

     ...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims. ESSENTIAL... 
    Suggested
    Contract work
    Work at office
    Local area
    Flexible hours

    Sedgwick Law

    Miami, FL
    1 day ago
  • $136.5k - $204.5k

     ...Worker Type: Employee The Opportunity: The purpose of this role is to oversee the examination, evaluation, and processing of complex Claims estimates and paid Claims values, ensuring adherence to policy terms and conditions in alignment with the QBE Claims Philosophy.... 
    Suggested
    Full time
    Part time
    Work experience placement
    Work at office
    Work from home
    2 days per week
    3 days per week

    QBE Americas, Inc.

    Miami, FL
    5 days ago
  • $75k - $110k

    Insurance Underwriter Our insurance company in Bay Harbor, Florida, is seeking an Insurance Underwriter to join our team. The role offers a competitive salary ranging from $75,000 to $110,000. Responsibilities Evaluate and analyze insurance applications to determine ...
    Suggested

    Downtown Boulder Partnership

    Miami Beach, FL
    1 day ago
  • $23 per hour

     ...Patient Support Medical Claims Processing Representative As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies... 
    Suggested
    Hourly pay
    Full time
    Contract work
    Immediate start
    Remote work
    Work from home
    Worldwide
    Shift work

    IQVIA

    Doral, FL
    3 days ago
  •  ...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Assistant PRIMARY PURPOSE : To provide support to the claims staff and to perform other office tasks on a commercial automobile... 
    Suggested
    Work at office
    Local area

    Sedgwick

    Miami, FL
    4 days ago
  • * Analyzes and adjudicates routine claims, determining approval on file, eligibility, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process. * Responds to routine phone inquiries and written correspondence related... 

    Insight Global

    Miami, FL
    2 days ago
  • $16 - $17 per hour

    Benefits: 401(k) Flexible schedule Opportunity for advancement GoldenTrust Insurance is one of South Florida’s fastest-growing agencies, known for delivering trusted insurance solutions with professionalism, transparency, and care. We are expanding our team and...
    Hourly pay
    Flexible hours

    GoldenTrust Insurance

    Doral, FL
    4 days ago
  • $48k - $55k

     ...Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.... 
    Temporary work

    Tata Consultancy Services

    Miami, FL
    1 day ago
  • Licensed Auto Claims Adjuster - Bodily Injury Specialist (New York License Required) Location: Miami, FL. Primary Purpose To analyze mid- and higher-level general auto claims to determine scope of damages; to ensure ongoing adjudication of claims within company standards... 
    Contract work
    Work at office
    Local area

    Sedgwick

    Miami, FL
    1 day ago
  • $88k - $120k

     ...brokers and intermediaries to enhance submission flow and market presence. Collaborate closely with internal stakeholders, including Claims, Accounting, Product, and Operations, to support overall business objectives. Monitor market conditions, competitor behavior, and... 
    Full time
    Work at office

    Everest

    Doral, FL
    5 days ago
  • $50k

    Senior Underwriter We are partnering with a fast-growing financing firm to hire a Senior Underwriter for their revenue-based financing business. This is the first senior underwriting hire and a ground-floor opportunity to define underwriting standards, protect the portfolio...
    Relocation package

    Craft Recruiting

    Miami, FL
    2 days ago
  • Credit Analyst Responsible for providing a sound, independent and objective assessment and recommendation on risk factors associated with small business, midsize, large, complex structures and transactions related to Commercial and Industrial (C&I) transactions. This...
    Traineeship
    Work experience placement
    Remote work

    Amerant Bank

    Miami, FL
    5 days ago
  • $65k - $85k

    About Us At Biz2Credit, we look for individuals who are ready to join a dynamic and innovative fintech company on a mission to change the lending landscape for small businesses. Our values of Collaboration, Responsibility, Empowerment, Disruption, Innovation, and Trust...

    Biz2Credit

    Doral, FL
    1 day ago
  • About MS Reinsurance MS Reinsurance is a global reinsurer domiciled in Switzerland with underwriting offices in Zurich, Bermuda, Miami, and New York. The Company underwrites non‑life treaty reinsurance solutions on a worldwide basis through its three business units: Americas...
    Worldwide

    MS Amlin AG (Bermuda Branch)

    Doral, FL
    1 day ago
  • United Auto Insurance in Miami is looking for a Florida Specialty Underwriter to assess risks associated with property and casualty insurance. The role involves reviewing new business applications, underwriting transactions, and ensuring compliance with company guidelines...
    Remote work
    Flexible hours

    United Auto Insurance

    Doral, FL
    1 day ago
  • Micro1 is looking for an experienced Insurance Underwriter – Excess & Specialty to evaluate risks and structure coverage in a remote environment. In this role, you will leverage your underwriting expertise to support AI training data development and ensure compliance with...
    Remote work

    Micro1

    Miami, FL
    1 day ago
  •  ...to develop and maintain profitable business. Acts as a trusted representative of Liberty Mutual in all interactions.Market Presence &...  ...closely with internal stakeholders, including Underwriting Support, Claims, Actuarial, and Directors of Underwriting across GRS North America... 
    Local area

    Liberty Mutual Insurance

    Doral, FL
    3 days ago
  • Micro1 is seeking an Insurance Underwriter – Excess & Specialty to apply your expertise in a remote work setting. You will leverage your underwriting knowledge to help train AI systems, evaluating commercial and specialty risk scenarios while ensuring compliance with insurance...
    Remote work

    Micro1

    Doral, FL
    4 days ago
  • Description The Commercial Credit Underwriter III analyzes, underwrites and may act as the final decision authority on commercial loan applications while following sound lending practices, policies and procedures. The Commercial Credit Underwriter III ensures compliance...
    Work at office
    Local area
    Flexible hours

    TD Bank N.A

    Coral Gables, FL
    2 days ago
  • Key Responsibilities Build pricing and underwriting models and analyses to guide new deal pricing and review of existing pricing arrangements Perform detailed medical cost, utilization, and trend analyses to support rate development and pricing recommendations...
    Contract work

    Health Network One Inc

    Miami, FL
    2 days ago
  • Doctors Healthcare Plans in Miami is seeking a Claims Dispute Resolution Specialist to research and resolve disputes coming from participating providers. The ideal candidate will have at least 3 years of experience in healthcare operations and knowledge of Medicare Advantage... 

    Doctors Healthcare Plans

    Miami, FL
    3 days ago
  •  ...services company providing long-haul transportation, collection, and loading of waste and other materials. JOB SUMMARY: The Claims Manager is responsible for the strategic oversight, evaluation, and resolution of insurance and liability claims on behalf of the... 
    Contract work
    Local area

    Bulk Express Transport

    Miami, FL
    10 days ago
  • $1,000 per week

     ...About the job Claims Manager - Position Objective: The Credit and Collection Manager - Claims has the responsibility of leading and coordinating activities related to credit management, collections and claims administration. His main objective is to ensure... 
    Monday to Friday

    Harmony Plus Inc.

    Doral, FL
    2 days ago
  • $100k - $150k

    Beazley Management Limited is seeking an Underwriter - International Specialties for Latin America. In this role, you will underwrite Financial Lines accounts and provide expert counsel on underwriting and market issues. You will develop profitable underwriting solutions...

    Beazley Management Limited

    Miami, FL
    2 days ago
  •  ...achieving - and surpassing - business plan targets, driving ongoing success and growth within the team. Work collaboratively with the Claims team, assisting with adjustments, analysis, and reserving to ensure seamless case management. Get involved in regional conferences... 

    Helvetia Insurance Switzerland

    Miami, FL
    1 day ago
  • Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you’ll work in an entrepreneurial culture alongside accessible...
    Work experience placement
    Local area
    Worldwide
    Home office

    Dormont Manufacturing Co

    Miami, FL
    2 days ago
  • $75k - $110k

    Downtown Boulder Partnership in Bay Harbor, Florida, is looking for an Insurance Underwriter to join their team. The successful candidate will evaluate insurance applications and determine coverage risks while also assessing potential risk factors. Qualified applicants ...

    Downtown Boulder Partnership

    Miami Beach, FL
    1 day ago
  • $100k - $150k

     ...underwriting policy and using underwriting knowledge and experience to win new business and retain existing. Monitor premiums, costs and claims ratios per contract and take corrective measures if necessary to ensure long‑term profitability at account level. Evaluate... 
    Contract work
    Temporary work
    Immediate start
    Home office
    Flexible hours

    Beazley Management Limited

    Miami, FL
    2 days ago
  • Liberty Mutual Insurance is seeking a Senior Production Underwriter specializing in Wholesale Excess & Surplus (E&S) Casualty in Miami, Florida. This role involves underwriting complex risks, managing a portfolio of brokers and agents, and collaborating with internal stakeholders...

    Liberty Mutual Insurance

    Miami, FL
    2 days ago
  • A leading fintech company in Miami is seeking a Junior Underwriter to evaluate loan applications and support the underwriting process. This role involves financial analysis of small businesses, analyzing creditworthiness and risks to inform lending decisions. The ideal ...

    Biz2Credit Inc

    Miami, FL
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Claims Representative I. Be the first to apply!